Summary of Newborn Hearing Screening Protocols
| Protocol | Population | Primary Advantages | Limitations | Equipment | Costs |
|---|---|---|---|---|---|
| A: ABR only | NICU or Well-Baby Nursery | Lower fail rate than OAE only ref?; Will aid in detecting neural hearing loss | Misses mild hearing loss 3(unless low stimulus level is used) | ABR | Disposable costs higher than OAE only, initial test time greater than OAE only |
| B: OAE only | Well-Baby Nursery | Lowest disposable costs | Misses neural hearing loss (low prevalence in WIN)1; high fail rate of all protocols | OAE | Disposable and test time lowest; follow up costs higher than ABR due to higher refer rate |
| C: Two Tier: OAE with ABR rescreen only if OAE is failed | Well-Baby Nursery | Lower fail rate than OAE only 7 | Misses mostly mild hearing loss 5 6 | ABR + OAE | Disposable costs vary depending on OAE fail rate |
| D: ABR and OAE | NICU or Well-Baby Nursery | Will aid in detecting neural hearing loss2 | Time and cost intensive compared to other protocols | ABR + OAE | Disposable cost and test time is higher than one technology test or two-tier tests 4 |
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1 Berg, Prieve, Serpanos, & Wheaton, 2011; 2 Kirkim, Serbetcioglu, Erdag, & Ceryan, 2008; 3Norton et al., 2000; 4 Hoff et al., 2000; 5 Johnson et al .,2005; 6 Gravel et al., 2005; 7 Vohr et al., 2001 |
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